Question

A 3-year-old boy presents with unilateral ear pain and fever 38.5 °C for 24 hours. Otoscopy shows a bulging, erythematous tympanic membrane with decreased mobility. He is otherwise well and immunised. According to CPS guidance, which approach is most appropriate?

Accepted Answer

Watchful waiting with analgesia, with safety-net prescription if symptoms persist or worsen over 24-48 hours

Answer

Immediate amoxicillin for all children with otitis media

Answer

No treatment and no follow-up needed

Answer

Routine use of oral azithromycin as first-line

Answer

Topical decongestants and routine imaging

Practice question

A 3-year-old boy presents with unilateral ear pain and fever 38.5 °C for 24 hours. Otoscopy shows a bulging, erythematous tympanic membrane with decreased mobility. He is otherwise well and immunised. According to CPS guidance, which approach is most appropriate?